Upcoming Mission Trips

Construction and Work-Intensive Mission Trip: Black Mountain Home for Children, Youth, and Families

Black Mountain, NC
June 2 – 7, 2019
$500 per personElevate Youth and Christ Church Missions Departments are partnering together to lead a domestic mission trip! This will primarily be a work and construction trip as we get a chance to help with much-needed renovations of cabins at the Black Mountain Home for Children, Youth, and Families, which serves children who have been abused, abandoned, or neglected and are involved in the foster care system. Our own Dave Chumley is serving as the project manager for our team, and we are in search of skilled individuals and those who are ready to learn, work hard, and have fun. We will also be providing our own meals while there, so we are looking for a team of people willing to serve in the kitchen for all of our food prep.

Application Form

Please fill out the information below.

What mission trip are you applying to?

Your First Name

Your Middle Name

Your Last Name

Your Preferred Name

Your Email

Your Phone

Your Address

Street AddressAddress Line 2CityStateZIP Code

Your Gender

Male

Female

Your Marital Status

Married

Single

Divorced

Widowed

Your Date of Birth

Your Facebook Profile Link

Your Twitter Link

Your Instagram Link

Do you have a criminal record?

Yes

No

Ages of Children (if applicable)

If under 18, please list the name(s) of your parent(s) or guardian(s).

Please check if you suffer from any of the following medical conditions.

hypertension

migraines

diabetes

depression

glaucoma

seizures

hypoglycemia

bleeding disorders

heart disease

arthritis

insect allergies

asthma

chronic anxiety

Do you have any physical limitations that might affect your trip experience? If so, please explain.

Do you have any dietary restrictions? If so, please explain.

Please list any medications (prescriptions or over-the-counter) taken on a regular basis.

Please list any medical or food allergies.

Have you had surgery in the past 3 years? If so, please explain.

Blood Type

In an emergency, I give my permission to a licensed physician to hospitalize, anesthetize, or perform surgery on me. I understand that every effort will be made to inform my emergency contact before these actions are taken.

Yes

No

Virtual Signature (please type full legal name)

Today's Date

Parent/Guardian Signature (please type full legal parent/guardian name if under 18)

Passport Information (International Trips Only)

If this is a domestic mission trip, your passport information is not required. Please skip to the next section.

Full name, exactly as it appears on your Passport

Passport #

Passport Issue Date

Passport Expiration Date

Was your passport issued outside the U.S.? If so, what country issued your passport?

Christ Church Nashville is a three streams congregation, uniting the liturgical, evangelical, and charismatic streams of the church into one unified expression of devotional and missional life.Read More >